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Compensation for Blood Plasma Donation as a Distinctive Ethical Hazard: Reformulating the Commodification Objection

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Abstract

In this essay, I argue that the Commodification Objection (suitably redescribed), locates a phenomenon of real moral significance. In defending the Commodification Objection, I review three common criticisms of it, which claim firstly, that commodification doesn’t always lead to instrumentalization; secondly, that commodification isn’t the only route to such an outcome; and finally, that the Commodification Objection applies only to persons, and human organs (and, therefore, blood products) are not persons. In response, I conclude that (i) moral significance does not require that an undesirable outcome be a necessary consequence of the phenomenon under examination; (ii) the relative likelihood of an undesirable mode of regard arising provides a morally-relevant distinguishing marker for assessing the comparative moral status of social institutions and arrangements; and (iii) sales in blood products (and human organs more generally) are sufficiently distinct from sales of everyday artefacts and sufficiently close to personhood to provide genuine grounds for concern. Accordingly, criticisms of the Commodification Objection do not provide grounds for rejecting the claim that human organ sales in general and compensation for blood plasma donation in particular can have morally pernicious ‘commodificatory effects’ upon our attitudes, for what human organ sales provide is a distinctive ethical hazard.

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Notes

  1. http://www.theglobeandmail.com/life/health-and-fitness/health/ontario-liberals-propose-bill-to-ban-paying-people-for-their-blood/article19707099/.

  2. For a more general justification of the commodification of human body parts see Taylor (2005). For an early justification of the sale of body parts see Dworkin (1994).

  3. There is a vast literature exploring these issues. See, for instance, Danovitch and Leictiman (2006).

  4. For overviews of these debates see Taylor (2005), Cherry (2005) and Wilkinson (2003). See also Becker and Elias (2007) and Harris and Erin (2002).

  5. See Wilkinson (2003) who focuses primarily on this particular objection.

  6. Contemporary moral debates over sales of blood in the English-speaking world begin with Titmuss (1970). There exists a remarkably large philosophical and social science literature on Titmuss and, more generally, on the sale of human organs.

  7. See also Wilkinson (2000). Here Wilkinson is primarily concerned with those anti-commodification arguments that focus on a loss of intrinsic value.

  8. For an excellent example of this use of Kant see Brecher (1994, p. 995). See also Chadwick (1989, p. 132) and Munzer (1993, 1994).

  9. Herein I shall treat ‘commercialization’ and ‘commodification’ as synonyms.

  10. This is exactly the line that Wilkinson runs in Bodies for Sale (2003).

  11. These compossibility cases are explored in far greater detail in Adrian Walsh (2001).

  12. Simmel claims in the Philosophy of Money that value arises only through such comparisons—it is price which gives rise to value. See Simmel (1991, pp. 92–93).

  13. Hill explicates the undesirability of equivalence in terms of instrumental regard. See Hill (1992, p. 247).

  14. Nor would logically possible, but physically impossible, counter-examples disprove the Corrosion Thesis.

  15. We should also note this anti-empirical tone sits oddly with the direction of his own book which suggests that we should not think of commodification as wrong in itself, but simply for the consequential effects it has with respect to exploitation. This, however, is an empirical matter itself and presumably outside of the philosopher’s purview.

  16. Frey also notes the existence of “Crowding-In Effects” where marketization fosters intrinsic valuation.

  17. The standard form of the argument is as follows: (1) A makes criticism P; (2) A is guilty of P; (3) Therefore, P is dismissed.

  18. For a useful survey of various exploitation objections to commodification see Wilkinson (2003) and Satz (2010).

References

  • Becker, G., & Elias, J. J. (2007). Introducing incentives in the market for live and cadaveric organ donations. Journal of Economic Perspectives, 21(3), 3–24.

    Article  Google Scholar 

  • Brecher, B. (1994). Organs for transplant: Donation or payment? In R. Gillon (Ed.), Principles of health care ethics (pp. 993–1002). New York: John Wiley and Sons.

    Google Scholar 

  • Chadwick, R. (1989). The market for bodily parts: Kant and duties to oneself. Journal of Applied Philosophy, 6(2), 129–140.

    Article  Google Scholar 

  • Cherry, M. J. (2005). Kidney for sale by owner. Washington DC: Georgetown University Press.

    Google Scholar 

  • Danovitch, G. M., & Leictiman, A. B. (2006). Kidney vending: The ‘Trojan Horse’ of organ transplantation. Clinical Journal of the American Society of Nephrology, 1(6), 1133–1135.

    Article  Google Scholar 

  • Dworkin, G. (1994). Markets and morals: The case for organ sales. In G. Dworkin (Ed.), Morality harm and the law (pp.155–161). Boulder: Westview Press.

    Google Scholar 

  • Eatwell, J., Milgate, M., & Newman, P. (Eds.). (1992). The new Palgrave dictionary of money and finance (pp. 549–550). London: Macmillan.

    Google Scholar 

  • Farrugia, A., Penrod, J., & Bult, J. M. (2010). Payment, compensation and replacement - the ethics and motivation of blood and plasma donation. Vox Sanguinis, 99, 202–211.

    Article  Google Scholar 

  • Frey, B. (1997). Not just for the money: An economic theory of personal motivation. Cheltenham: Edward Elgar Publishing.

    Google Scholar 

  • Gerrand, N. (1999). The misuse of Kant in the debate about a market for human body parts. Journal of Applied Philosophy, 16(1), 59–67.

    Article  Google Scholar 

  • Guenin, L. (2008). The morality of embryo use. Cambridge: Cambridge University Press.

    Google Scholar 

  • Hansard, Legislative Assembly of Ontario, Voluntary Blood Donations Act, 2014. http://www.ontla.on.ca/web/bills/bills_detail.do?locale=en&Intranet=&BillID=2961.

  • Harris, J., & Erin, C. (2002). An ethically defensible market in organs. British Medical Journal, 325(7356), 114–115.

    Article  Google Scholar 

  • Hill, T., Jr. (1992). Dignity and practical reason. Ithaca: Cornell University Press.

    Google Scholar 

  • Kant, I. (1963). Lectures on ethics (L. Infield, Trans.). New York: Harper and Row.

  • Kant I. (1991). The metaphysics of morals (M. Gregor, Trans.). Cambridge: Cambridge University Press.

  • Lepper, M. R., & Greene, D. (Eds.). (1978). Overjustification research and beyond: Toward a means-ends analysis of intrinsic and extrinsic motivation. In The hidden costs of reward: New perspectives on the psychology of human motivation (pp. 109–148). Hillsdale: Lawrence Erlbaum.

  • McGraw, K. O. (1978). The detrimental effect of reward on performance: A literature review and a prediction model. In M. Lepper & D. Greene (Eds.), The hidden costs of reward (pp. 33–60). Hillsdale: Erlbaum.

  • Munzer, S. (1993). Kant and property rights in body parts. Canadian Journal of Law and Jurisprudence, 6(2), 319–341.

    Google Scholar 

  • Munzer, S. (1994). An uneasy case against property rights in body parts. Social Philosophy, 11(2), 259.

    Google Scholar 

  • Paton, H. J. (1946). The moral law or Kant’s groundwork of the metaphysics of morals. London: Hutchinson.

    Google Scholar 

  • Paton, H. J. (1971). The categorical imperative: A study in Kant’s moral philosophy. Philadelphia: University of Pennsylvania Press.

  • Radin, M. J. (1996). Contested commodities. Cambridge: Harvard University Press.

    Google Scholar 

  • Satz, D. (2010). Why some things should not be for sale: The moral limits of markets. New York: Oxford University Press.

  • Simmel, G. (1991). The philosophy of money, 2nd enlarged edition, (D. Frisby, Ed., T. Bottomore & D. Frisby, Trans.). London: Routledge.

  • Taylor, J. S. (2005). Stakes and kidneys: Why markets in human organs are morally imperative. Aldershot Hants: Ashgate Publishing House.

    Google Scholar 

  • Taylor, J. S. (2014). Why compensated donation is ethically imperative. http://www.pptaglobal.org/images/source/2014/SPRING/Individual_Articles/5._Why_Compensated_Donation_is_ethically_imperative.pdf.

  • Titmuss, R. (1970). The gift relationship: From human blood to social policy. London: George Allen and Unwin.

    Google Scholar 

  • Walsh, A. (2001). Are market norms and intrinsic valuation mutually exclusive? Australasian Journal of Philosophy, 79(4), 525–543.

  • Walzer, M. (1983). Spheres of justice: A defense of pluralism and equality. New York: Basic Books.

    Google Scholar 

  • White, L. (2014). Does remuneration for plasma compromise autonomy? HEC Forum, 10, 1572–8498.

  • Wilkinson, S. (2000). Commodification arguments for the legal prohibition of organ sale. Health Care Analysis, 8(2), 189–201.

    Article  Google Scholar 

  • Wilkinson, S. (2003). Bodies for sale: Ethics and exploitation in the human body trade. London: Routledge.

    Google Scholar 

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Walsh, A. Compensation for Blood Plasma Donation as a Distinctive Ethical Hazard: Reformulating the Commodification Objection. HEC Forum 27, 401–416 (2015). https://doi.org/10.1007/s10730-015-9287-3

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